CAJ | 학술논문

目的探讨觉醒过度、性格特点及应对策略等因素对应激性失眠易患性的影响情况.方法以345名睡眠良好的健康志愿者为研究对象,采用自编一般资料问卷、福特应激失眠反应量表(FIRST)、睡前觉醒状态量表(PSAS)、大五人格问卷(NEOPI-R)、压力应对方式调查问卷(CISS)、心率变异度(HRV)评估研究对象心理及生理变化特点.使用FIRST将研究对象分为应激性失眠高风险组(高风险组,n=172)和应激性失眠低风险组(低风险组,n=173).结果与低风险组比较,高风险组年龄偏小[(27.91±8.22)岁vs(24.82±7.73)岁],女性所占比例较高(34.7％ vs 53.4％),差异有统计学意义(P＜0.01或0.05).高风险组PSAS总分[(30.11±6.22)分]、睡前认知觉醒因子分[(17.73±4.51)分]、睡前生理觉醒因子分[(12.78±3.23)分],NEOPI-R神经质因子分[(3.13±0.51)分],CISS情感指向因子分[(48.98±10.54)分],HRV指标LF/HF值(1.51±0.19)高于低风险组[(28.52±5.82)分,(16.32±4.32)分,(11.41±2.75)分,(2.87±0.47)分,(46.23±11.21)分,(1.17±0.11)],差异有统计学意义(P＜0.01或0.05);NEOPI-R外倾性因子分[(2.96±0.54)分],HRV指标HF值[(311.21±72.32) ms2/Hz]、LF值[(469.49±85.67) ms2/Hz]低于低风险组[(3.11±0.56)分,(490.43±91.74) ms2/Hz,(573.21±98.75) ms2/Hz],差异有统计学意义(P＜0.01或0.05).线性回归方程分析显示性别、PSAS总分、睡前认知觉醒因子分、睡前生理觉醒因子分、神经质因子分、情感指向因子分、LF/HF值均与FIRST评分显著相关(P＜0.01或0.05).结论认知-生理觉醒过度、神经质性格特征可能是个体易患应激性失眠的病前特征,不良的压力应对策略促进了失眠症的发展.
목적 탐토각성과도、성격특점급응대책략등인소대응격성실면역환성적영향정황.방법 이345명수면량호적건강지원자위연구대상,채용자편일반자료문권、복특응격실면반응량표(FIRST)、수전각성상태량표(PSAS)、대오인격문권(NEOPI-R)、압력응대방식조사문권(CISS)、심솔변이도(HRV)평고연구대상심리급생리변화특점.사용FIRST장연구대상분위응격성실면고풍험조(고풍험조,n=172)화응격성실면저풍험조(저풍험조,n=173).결과 여저풍험조비교,고풍험조년령편소[(27.91±8.22)세vs(24.82±7.73)세],녀성소점비례교고(34.7％ vs 53.4％),차이유통계학의의(P＜0.01혹0.05).고풍험조PSAS총분[(30.11±6.22)분]、수전인지각성인자분[(17.73±4.51)분]、수전생리각성인자분[(12.78±3.23)분],NEOPI-R신경질인자분[(3.13±0.51)분],CISS정감지향인자분[(48.98±10.54)분],HRV지표LF/HF치(1.51±0.19)고우저풍험조[(28.52±5.82)분,(16.32±4.32)분,(11.41±2.75)분,(2.87±0.47)분,(46.23±11.21)분,(1.17±0.11)],차이유통계학의의(P＜0.01혹0.05);NEOPI-R외경성인자분[(2.96±0.54)분],HRV지표HF치[(311.21±72.32) ms2/Hz]、LF치[(469.49±85.67) ms2/Hz]저우저풍험조[(3.11±0.56)분,(490.43±91.74) ms2/Hz,(573.21±98.75) ms2/Hz],차이유통계학의의(P＜0.01혹0.05).선성회귀방정분석현시성별、PSAS총분、수전인지각성인자분、수전생리각성인자분、신경질인자분、정감지향인자분、LF/HF치균여FIRST평분현저상관(P＜0.01혹0.05).결론 인지-생리각성과도、신경질성격특정가능시개체역환응격성실면적병전특정,불량적압력응대책략촉진료실면증적발전.
Objective To explore the influence factors of hyperarousal,personality characteristics and coping strategies on the vulnerability to stress-related sleep disturbance.Methods A total of 345 sleep good healthy volunteers were recruited by " purposive sampling" technique.Every participant completed an extensive survey that included the general condition questionnaire,Ford Insomnia Response to Stress Test (FIRST),PreSleep Arousal Scale (PSAS),NEO Personality Inventory-Revised (NEOPI-R),Coping Inventory for Stressful Situations (CISS) and Heart Rate Variability(HRV).All participants were classified as "High risk group" and " Low risk group" by using the FIRST criterion.Results The high risk group was younger than the low risk group (27.91±8.22 vs 24.82±7.73,P＜0.01),and had a higher percentage of females (34.7％ vs 53.4％,P＜0.05).The high risk group showed significantly higher scores in PSAS total (30.11±6.22),pesleep cognitive arousal (17.73± 4.51),presleep somatic arousal (12.78 ± 3.23),neuroticism (3.13 ± 0.51),emotion oriented (48.98 ± 10.54),but lower score in extraversion (2.96±0.54),then those indicators of the low risk group (28.52±5.82,16.32±4.32,11.41±2.75; 3.11±0.56,2.87±0.47,46.23±11.21,3.11±0.56,P＜0.01 or 0.05).There were significant difference between the two group in LF/HF (1.51 ±0.19 vs 1.17±0.11,P＜0.01),HF((311.21 ±72.32) ms2/Hz vs (490.43 ± 91.74)ms2/Hz,P＜0.01),LF((469.49±85.67)ms2/Hzvs (573.21±98.75) ms2/Hz,P＜0.01) in HRV.Results of linear regression analysis showed that gender,and scores of PSAS total,cognitive arousal,presleep cognitive arousal,presleep somatic arousal,neuroticism,emotion oriented and LF/HF were significant correlation with FIRST score (P＜0.01 or 0.05).Conclusion Presleep cognitive and somatic arousal,neurotic character may be the premorbid characteristics of stress-related sleep disturbance,and bad stress coping strategies are easy to promote the development of insomnia.